TITLE

Long-Term Functional Outcomes After Operative Treatment for Intra-Articular Fractures of the Calcaneus

AUTHOR(S)
Potter, Michael Q.; Nunley, James A.
PUB. DATE
August 2009
SOURCE
Journal of Bone & Joint Surgery, American Volume;Aug2009, Vol. 91-A Issue 8, p1854
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Calcaneal fractures can have long-term consequences in terms of pain and disability. Comparative studies have suggested that operative treatment of these fractures may result in better outcomes than nonoperative treatment; however, to our knowledge, the long-term outcomes of operative treatment of calcaneal fractures have not been reported for a large cohort of patients. Methods: One hundred and fifty-seven patients with calcaneal fractures were managed at our institution between January 1, 1989, and April 30, 2003. Seventy-three patients who were managed operatively for eighty-one intra- articular calcaneal fractures responded to a functional questionnaire that included the adjusted American Orthopaedic Foot and Ankle Society ankle-hindfoot scale (subjective component only), the Foot Function Index, and the calcaneal fracture scoring system at a median of 12.8 years (range, 5.0 to 18.5 years) after the injury. Results: In our study population, the mean adjusted American Orthopaedic Foot and Ankle Society ankle-hindfoot score was 65.4 (95% confidence interval, 60.6 to 70.2), the mean Foot Function Index score was 20.5 (95% confidence interval, 16.6 to 24.4), and the mean calcaneal fracture scoring system score was 69.3 (95% confidence interval, 63.6 to 74.9). Patients who had sustained the calcaneal fracture as a result of a motor-vehicle accident rather than a fall reported significantly worse outcomes on two of three scales (p = 0.04 for the adjusted American Orthopaedic Foot and Ankle Society ankle-hindfoot scale, p = 0.05 for the Foot Function Index, and p = 0.35 for the calcaneal fracture scoring system), but this analysis was limited by the exclusion of twenty-four patients because of crush injuries (two) or unavailable documentation of the mechanism of injury (twenty-two). Conclusions: The long-term outcomes of operative treatment described in the present report are comparable with the long-term outcomes previously reported among smaller patient cohorts. Additional investigation is required to determine why patients with fractures that resulted from a motor-vehicle accident reported worse outcomes than patients with fractures that resulted from a fall. Level of Evidence: Therapeutic Level IV. See Instructions to Authors for a complete description of levels of evidence.
ACCESSION #
43637135

 

Related Articles

  • A case of a twisted ankle. Loudon, I.S.L.; Harrold, A.J. // British Medical Journal;5/14/1977, Vol. 1 Issue 6071, p1260 

    Presents case of 40-year-old patient with a twisted ankle; Referral of patient for radiography; Application of elastoplast strapping; Treatment of the twisted ankle.

  • Bony destructive injuries of the calcaneus: long-term results of a minimally invasive procedure followed by early functional exercise: a retrospective study. Yanling Su; Wei Chen; Qi Zhang; Song Liu; Tao Zhang; Yingze Zhang // BMC Surgery;2014, Vol. 14 Issue 1, p1 

    Background Bony destructive injury of the calcaneus (BDIC) represents one of the most severe comminuted fractures of the calcaneus in which soft tissue coverage remains intact. The features of this injury include a collapsed articular surface, significant widening, severe loss of height and an...

  • Comparison of Surgical Outcomes of Intra-Articular Calcaneal Fractures by Age. Gaskill, Trevor; Schweitzer, Karl; Nunley, James // Journal of Bone & Joint Surgery, American Volume;12/15/2010, Vol. 92-A Issue 18, p2884 

    Background: Internal fixation is an accepted treatment for displaced fractures of the calcaneus. Operative intervention in older patients, however, is traditionally discouraged in the literature. The purpose of this study was to compare the outcomes of internal fixation of intra-articular...

  • Ultrasonography of ankle ligaments. Peetrons, Philippe A.; Silvestre, Alain; Cohen, Michel; Creteur, Viviane // Canadian Association of Radiologists Journal;Feb2002, Vol. 53 Issue 1, p6 

    Examines the effectiveness of ultrasonography (US) technique in diagnosing ankle ligaments. Importance of the knowledge of ankle and US technique in the management of the different kinds of ankle sprains; Importance of ligament in ankle sprains examination; Involvement of anterior talofibular...

  • Ankle fractures in diabetics. Parikh, M.; Slater, N.; Walker, C. // Journal of the Royal College of Surgeons of Edinburgh;Dec98, Vol. 43 Issue 6, p415 

    Describes the treatment of ankle fractures in insulin-dependent diabetics. Deficits in all sensory modalities; Description of the development of neuroarthropathy after ankle and foot injuries in diabetics; Recommendation for the identification of diabetic patients in fracture clinics.

  • Ankle Sprain Treatment.  // Pediatrics for Parents;Sep/Oct2013, Vol. 29 Issue 9/10, p14 

    The article focuses on the study conducted on 340 athletes age between 12-70, which shows the effectiveness of ankle bracing in treating ankle sprain.

  • EMG Comparison of Selected Ankle Rehabilitation Exercises. Cordova, Mitchell L.; Jutte, Lisa S.; Hopkins, J. Ty // Journal of Sport Rehabilitation;Aug1999, Vol. 8 Issue 3, p209 

    Compares selected ankle rehabilitation exercises used to reestablish lower extremity neuromuscular function and strength. Use of integrated electromyography; Repetition of exercise conditions by participants; Identification of the exercise with the greatest muscle activity.

  • THE CLINIC.  // Running & FitNews;Sep/Oct2006, Vol. 24 Issue 3, p14 

    This article includes questions from readers with various ailments related to running. Medical and other sports specialists provide answers to questions about treatment for a tibial stress fracture, a click in the hip bone of an older runner, treatment for heel pain in a runner with diabetes,...

  • Nagyméretű sarokcsont ciszták ellátása Ostim® felhasználásával Két eset utánkövetése. LÁSZLÓ, SZÁLASY; RÓBERT, LÉNÁRTH; FERENC, TÖMBÖL // Magyar Traumatológia, Ortopédia, Kézsebészet, Plasztikai Seb;2012, Vol. 55 Issue 4, p293 

    Two cases of our experience with critical size calcaneus cysts treated using a synthetic bone substitute are presented. Special attention is devoted to the diagnostic process and preoperative planning. The surgical technique and the used compound are presented. Sustained by positive results they...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics